Deirmenjian Dentistry Inc

Primary specialty

DentistTaxonomy code 122300000X

License

40804 Issued in CA

Legal business name

DEIRMENJIAN DENTISTRY INC

Practice address

470 W Badillo St
Covina, CA 91723-1829

Phone

(626) 331-8287

Fax

(626) 331-5795

NPI assigned

Oct 27, 2016

Organization subpart

Yes

Parent organization

B DEIRMENJIAN DDS INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barouir Deirmenjian, DDS

Title

Owner

Phone

(855) 705-3434

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Smiles West of Covina Doing business as

Part of

B Deirmenjian DDS Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1770035677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15643 SHERMAN WAY",
            "address_2": "SUITE 220",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064135",
            "telephone_number": "855-705-3434",
            "fax_number": "855-705-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W BADILLO ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231829",
            "telephone_number": "626-331-8287",
            "fax_number": "626-331-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRMENJIAN DENTISTRY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B DEIRMENJIAN DDS INC",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "DEIRMENJIAN",
        "authorized_official_first_name": "BAROUIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "855-705-3434",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "40804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649498817",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356560494",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smiles West of Covina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Viviana Dearcia
• Jamie N Dearmond
• Lorenzo Giovanni Debellis, BSW
• Debra Anne Hartman Professional Dental Hygiene Corporation
• Deepamerica Inc
• Alejandro Dejesus
• Antonio Ismael Del Pozo
• Alvin Villadelgado Del Rosario, PT
• Jannen Faye Barba Dela Cruz
• Arianna Isis Delgadillo

• Dentist in Covina, CA
• Providers in Covina, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.